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LECTURE: Assertiveness In Nursing Leadership By Nurse Najidullah Ahmed RN, BNSc (In view)
Date Posted: 30/Oct/2018
Recently, A campaign was launched by ICN in collaboration with WHO to raise the status and profile of nurses, Have Nurses in leadership roles and policy making status. We all know public have misconception about Nurses, To clear that misconception and achieve goals of that campaign ASSERTIVENESS IN NURSING/NURSING LEADERSHIP Is the skills needed.
 
ASSERTIVENESS Is being able to stand up for your own or other people’s rights in a calm and positive way, without being either aggressive, or passively accepting ‘wrong’. Assertiveness enables Nurses to act in their own best interests, to stand up for themselves without undue anxiety, to express honest feelings comfortably and to express personal rights without denying the rights of others. Assertiveness concerns being able to express feelings, wishes, wants and desires appropriately and is an important personal and interpersonal skill.  In all your interactions with patients/patient relatives  and other Health professionals
 
AIMS OF ASSERTIVENESS IN NURSING
- Is to find best possible solution for all
- Increases the chance of nurses needs being met
- Allow nurses to remain in control in Health care industry 
- Bring greater self confidence among nurses
- Reduces stress among nurses
 
ASSERTIVENESS IN STYLE OF COMMUNICATION
 
PASSIVE STYLE
Is a style in which individuals have a pattern of avoiding expressing their opinions, feelings or protecting their right, 
Passive style is usually born of low self-esteem.
 
IMPACT
- Often feel anxious because life seems out of their control 
-Often feel depressed because they feel stuck and hopeless 
-Often feel confused because they ignore their own feeling.
 
AGGRESSIVE STYLE
It is style in which individuals express their feelings and opinions and advocate their needs in a way that violates the right of others.
Thus are verbally and/or physically abusive 
 
IMPACT
- Become alienated from others 
-Generate fear and a hater in others 
-Always blame others instead of owing their issues.
Thus are unable to mature.
 
ASSERTIVE STYLE
It is a style in which individuals clearly state their opinions and feelings, and firmly advocate for their rights and needs without violating the right of others. 
Assertive communication is born of *high self esteem*
 
IMPACT
- Feel connected to others 
- Feel in control of your life 
- Create a respectful environment for others to grow and mature.
 
It's possible to be using all the styles in different situations for example,
Aggressively to your patients, patient relatives or your junior.
Passively to your seniors or Doctors.
Assertively to your same level colleagues.
General Techniques of Assertiveness
 
Two key techniques that can aid assertiveness are known as "Fogging" and the "Stuck Record" technique.
 
FOGGING
Fogging is a useful technique if people are behaving in a manipulative or aggressive way. Rather than arguing back, fogging aims to give a minimal, calm response using terms that are placating but not defensive, while at the same time not agreeing to meet demands.
 
Fogging involves agreeing with any truth that may be contained within statements, even if critical. By not responding in the expected way, in other words by being defensive or argumentative, the other person will cease confrontation as the desired effect is not being achieved. When the atmosphere is less heated, it will be possible to discuss the issues more reasonably.
 
Fogging is so termed because the individual acts like a 'wall of fog' into which arguments are thrown, but not returned.
 
THE STUCK RECORD
The Stuck Record technique employs the key assertive skill of *'calm persistence'*.
 
It involves repeating what you want, time and time again, without raising the tone of your voice, becoming angry, irritated, or involved in side issues.
Continually repeating a request will ensure the discussion does not become side-tracked and involved in irrelevant argument. The key is to stay calm, be very clear in what you want, stick to the point and not give up. Accept a compromise only if you are happy with the outcome.
 
ASSERTIVENESS IN NURSING LEADERSHIP IS:
Being open in expressing wishes, thoughts and feelings and encouraging others to do likewise.
Listening to the views of others and responding appropriately, whether in agreement with those views or not.
Accepting responsibilities and being able to delegate to others.
Regularly expressing appreciation of others for what they have done or are doing.
Being able to admit to mistakes and apologise.
Maintaining self-control.
Behaving as an equal to others.
Express yourself in a clear, open and reasonable way, without undermining your own or others’ rights.
 
Recently nurses's role in the clinical setting is changing, nurses are expected to act as partners with other health care professionals and to lead in the improvement and redesign of the health care system, nurses are crucial in preventing medical errors, reducing rates of infection, and even facilitating patients’ transition from hospital to home. It means that nurses are expected to acquire assertiveness in order to work effectively with other health care professionals.
about the competent and engaged practice of nurses, who provide exemplary care,
think critically and independently, 
inform their practice with evidence, delegate and take charge appropriately, advocate for patients and communities, 
insist on practising to their full and legal scope and push the boundaries of practice to innovative new levels.
about innovative and visionary administrators from the first level to the most senior nurse executives – leaders
who understand and hold themselves accountable for creating vibrant, exciting practice settings in which nurses 
can deliver safe, accessible, timely and high-quality care for the Patients /clients
 
CONCLUSION
ASSERTIVENESS is a communication skills which leads to SELF CONFIDENCE AND HIGH SELF ESTEEM, I believe with above two we can raise the profile and status of Nurses at the same time clear/correct public misconception. 
 
Let me conclude with a statement; "LEAD AND ACT ASSERTIVELY ANYTIME ANYWHERE"
GOD BLESS YOU ALL
 
REFERENCE 
Assertiveness https://www.skillsyouneed.com/ps/assertiveness.html
Assertiveness in Nursing http://www.slideshare.net/EktaPatel55/assertiveness-in-nursing?from_m_app=android
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